|Publication number||US7162921 B2|
|Application number||US 11/042,785|
|Publication date||Jan 16, 2007|
|Filing date||Jan 24, 2005|
|Priority date||Apr 8, 2004|
|Also published as||DE102004017403A1, DE102004017403B4, US20050223795|
|Publication number||042785, 11042785, US 7162921 B2, US 7162921B2, US-B2-7162921, US7162921 B2, US7162921B2|
|Inventors||Henning Gerder, Artur Kuo|
|Original Assignee||Dräger Medical AG & Co. KGaA|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (13), Referenced by (4), Classifications (27), Legal Events (8)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This application claims the benefit of priority under 35 U.S.C. § 119 of German Application DE 10 2004 017 403.2 filed Apr. 8, 2004, the entire contents of which are incorporated herein by reference.
The present invention pertains to a measuring device for measuring the volume flow or other substance properties of a flowing gas, whose direction of flow can reverse. Typical applications of such measuring devices are found in the area of artificial respiration, where the monitoring of various parameters of the breathing air is frequently a part of patient monitoring and/or contributes to the increase in the reliability of operation of the respirators. The present invention shall therefore be described based on the example of respiration technology.
In case of mechanical respiration imitating natural respiration, the inspiration and the expiration take place via a single-channel tube introduced into the patient's trachea. Splitting into separate flow paths is performed in the vicinity of the patient via a Y-piece, and these separate flow paths can be released via actuated valves and thus make possible a desired uncoupling of the volume flows generated during expiration and inspiration, corresponding to the mode of respiration selected.
The uncoupling of the volume flows can never be complete for anatomic and technological reasons. For anatomic reasons, there is a dead volume, which is determined, among other things, by the volume of the trachea, even during natural breathing. In case of artificial respiration, the volume of the tube is a technological dead volume. If additional volume areas through which both volume flows flow are present between the outer end of the tube and the beginning of the separate flow guiding, these automatically increase the dead volume during respiration. To attain a low flow resistance during respiration, the cross section is usually expanded already in the transition area between the tube and the Y-piece. As a result, the Y-piece itself may already contribute appreciably to the technological dead volume. If additional flow-carrying components, for example, sensor heads with flow sensors, are inserted between the tube and the Y-piece, these also increase the dead volume of the respiration unit.
The dead volume may, as a rule, be tolerated if the tidal volume is markedly larger than the dead volume. However, cases in which a small tidal volume must suffice for complete respiration frequently occur during mechanical respiration in medicine. This may be due to various impairments in the functionality of the respiratory system or a small lung volume. The latter occurs mostly in neonatology. It is desirable in such cases to keep the dead volume as small as possible during artificial respiration.
It is frequently desirable to obtain the data necessary for a “real-time monitoring” of a patient possibly in the vicinity of the patient from a measurement of the gas flows being sent through the respiration unit. If flow sensors or sensors for measuring certain properties of flowing gases are directly exposed to the gas flow to be measured, they frequently yield evaluable signals only if uniform flow conditions prevail in their immediate environment and the sensors themselves do not affect the gas flow in an undefined manner. Sensors are therefore sometimes accommodated in special components which are optimized only with the aim of guaranteeing defined flow conditions in the environment of the sensor. However, the integration of additional components implies an increased effort for installation, it possibly increases the dead volume and may lead to problems in terms of optimization in the overall system if individual components are optimized concerning their individual functions but not for an optimal cooperation. One example of such an optimization concerning individual functions is the design of conventional Y-pieces. These contain an unbranched area, which can be called a base area, which is flown through in both directions and whose dimensioning is determined essentially by the conditions of connection to the tube or to a tube adapter. Furthermore, Y-pieces comprise two outflow pipes for the connection of separate flexible tubes, which are flown through in one direction only. Flexibility problems are usually the most important aspects in designing these outflow pipes. The connection sites must have a certain minimum distance for the possibility of handling and shall permit rapid mounting. As a result, difficult-to-define flow conditions may arise in the base area of the Y-pieces, where the separate flow paths are merged.
A device is known from WO 84/01704 as an example of the integration of additional components for measurement purposes, in which venturi tubes are arranged behind the Y-piece in the flow paths already extending separately, and the pressures occurring at the reduction of the area of these venturi tubes are monitored for differential pressure measurement. However, the measured values are not obtained particularly close to the patient because of the arrangement behind the Y-piece.
The object of the present invention is to provide a device for measuring the volume flow or the substance properties of a gas, whose direction of flow can reverse, which device makes it possible to obtain the measured data close to the patient and makes do with a very small dead volume, and wherein simple integration of the device into existing systems shall be possible.
A device according to the present invention for measuring the volume flow and/or additional substance properties of a gas, whose direction of flow can reverse, contains an arrangement with a Y-piece, one end of which is connected to a gas-carrying component, in which varying directions of flow may prevail, and whose other ends are connected with gas-carrying components, in which no change takes place in the direction of flow, wherein the Y-piece has separate, essentially uncoupled flow paths for gas flows of different directions of flow, which extend at least partially in parallel to one another, are separated from one another by a flat partition in the area in which they extend in parallel to one another and are equipped with means for obtaining measured values for characterizing the flowing gas in the area in which they extend in parallel to one another.
Consequently, the present invention is based, in respect to respiration technical applications, on exploring the area located in the vicinity of the tube, which is unbranched in conventional Y-pieces, as a measuring site located close to the patient, and at the same time not to allow this area to act as a dead volume any longer. The base area of the Y-piece close to the tube is divided for this purpose into two areas by a partition extending in the direction of flow. On the side facing away from the tube, each of these areas opens into the respective branch of the Y-piece, via which fresh breathing gases are supplied or the used breathing gases are removed during expiration. On the side of the Y-piece close to the tube, the partition may extend into the area of connection to the tube. The Y-piece itself does not contribute to the dead volume in this case.
Due to the flow paths being separated already in the base area of the Y-piece, it is possible to increase the overall length of the Y-piece in the base area without hereby causing an increase in the dead volume. It was found that such an increase in the overall length, in conjunction with the partition according to the present invention, causes flow conditions that permit interesting measured values to be obtained in a reliable manner from the gas flows in the area close to the patient to emerge in the areas of the Y-piece that are separated by the partition and extend in parallel.
The introduction of a partition according to the present invention reduces, in principle, the dead volume. It is especially advantageous for the flat partition to extend up to the area in which the connection with the gas-carrying component takes place, in which varying directions of flow may prevail. This area is determined mostly by a tube adapter.
An especially good uncoupling of the separate flow paths is achieved if a movable flap, which is movable between two positions, is fastened at the end of the partition, and in case of a direction of flow from the Y-piece to the gas-carrying component, in which varying directions of flow may prevail, this flap assumes a position that reduces the flow cross section as little as possible and in the reversed direction of flow it assumes a position in which it facilitates the inflow into the flow path intended for that direction of flow.
It is advantageous if at least one of the two positions of the movable flap is determined by an end stop. An especially expedient and simple embodiment of a device according to the present invention is obtained if the movable flap is fastened such that the position of the movable flap is set by the flow forces acting on the flap. The mobility of the flap can be advantageously brought about by means of elastic fastening means between the movable flap and the flat partition.
Especially favorable flow conditions, which lead to good measuring results, do arise if the cross section of the Y-piece is approximately round in the area in which the separate flow paths extend in parallel to one another. This permits, in addition, an especially simple adaptation to conventional tube adapters.
In another advantageous embodiment, the cross section of the Y-piece is approximately square in the area in which the separate flow paths extend in parallel to one another. This makes it possible to arrange chip sensors for measuring the flow in/at the outer wall of the Y-piece in an especially flow-neutral manner in the areas of the separate flow paths that extend in parallel to one another, because the planar geometry of the chips corresponds to the geometry of the flow-limiting surface.
Another advantageous embodiment is obtained if chip sensors for measuring the flow in/at the partition are arranged in the areas of the separate flow paths that extend in parallel to one another. The electric lines necessary for the operation of the chip sensors may now be integrated in the interior of the partition.
Another advantageous embodiment for flow measurement is obtained if hot wire sensors are arranged for flow measurement in the areas of the separate flow paths that extend in parallel to one another.
It may be advantageous to arrange holes, through which pressure measurement can be performed if the holes are connected with pressure measuring means via pressure pipes, in the outer wall of the Y-piece in the areas of the separate flow paths that extend in parallel to one another.
An especially great certainty of measurement is obtained if the holes in the outer wall lead into at least one buffer volume, whose inner pressure can be measured. The number of holes may be selected to be relatively large because the individual holes do not need to be provided with pressure pipes. As a result, there will be a high tolerance to the clogging of individual holes, and slight variations or inhomogeneities in the flow will also have only a reduced effect on pressure measurement. Such a buffer volume is advantageously associated with each pressure measuring means.
In another advantageous embodiment of a device according to the present invention, openings, which can be connected with pressure measuring means via channels extending in the interior of the partition, are arranged in the partition in the areas of the separate flow paths that extend in parallel to one another. The number of flexible tubes leading into the vicinity of the patient is reduced as a result.
It is especially advantageous if two means of the same type for obtaining measured values to characterize the flowing gas are coupled in the separate flow paths such that they make possible a difference measurement between the separate flow paths. It is usually possible due to the difference measurement to determine the flow component of changing direction in case a continuous basic flow is superimposed to a flow of changing direction. Dead space rinsing by a basic flow is necessary in some medical applications. The field of use of the device according to the present invention is thus expanded by the difference measurement.
An especially advantageous embodiment with the possibility of measuring the pressure difference between the separate flow paths is obtained if a movable part is integrated in the partition and it is provided with measuring means, and the movable part sends a signal that depends on the pressure difference by its deflection in case of a pressure difference between the separate flow paths. This can be embodied, for example, by a piezo measuring element.
An alternative embodiment with the possibility of measuring the pressure difference between the separate flow paths is obtained if windows that are permeable to ultrasound and are located approximately on a straight line that is sloped against the direction of flow are arranged in the partition and in the outer walls of the Y-piece in the area in which the separate flow paths extend in parallel to one another, and ultrasound transducers, which form a measuring section between them, via which flow measurement can be carried out by time of flight measurement, are arranged in front of the windows outside the flow paths.
A further improvement of the accuracy of measurement and reproducibility is achieved if flow rectifiers are arranged in the direction of flow in front of the particular site at which measured values are obtained to characterize the flowing gas. These may be various flow guide vanes which ensure a sufficiently stable laminar flow at the particular measuring site in case of complicated incoming flow conditions.
Devices according to the present invention will be described in greater detail below on the basis of exemplary embodiments. The various features of novelty which characterize the invention are pointed out with particularity in the claims annexed to and forming a part of this disclosure. For a better understanding of the invention, its operating advantages and specific objects attained by its uses, reference is made to the accompanying drawings and descriptive matter in which preferred embodiments of the invention are illustrated.
In the drawings:
Referring to the drawings in particular,
In special embodiments of the base area 4 of the Y-piece 2, the base area has, according to
While specific embodiments of the invention have been shown and described in detail to illustrate the application of the principles of the invention, it will be understood that the invention may be embodied otherwise without departing from such principles.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2023568 *||May 10, 1932||Dec 10, 1935||Albersheim Walter J||Flow meter|
|US4127121 *||Sep 17, 1976||Nov 28, 1978||University Of Utah||Oxygen and anesthesia delivery and monitoring device|
|US4351189 *||Aug 12, 1980||Sep 28, 1982||National Research Development Corporation||Differential flowmeters|
|US4409847 *||Aug 13, 1981||Oct 18, 1983||Siemens Aktiengesellschaft||Ultrasonic measuring arrangement for differential flow measurement, particularly for measurement of fuel consumption in motor vehicles with a fuel return line|
|US4905509 *||Feb 27, 1989||Mar 6, 1990||Japan Electronic Control Systems Co., Ltd.||Hot wire air flow meter arrangement for monitoring intake air flow rate in internal combustion engine|
|US5443059 *||Jan 14, 1994||Aug 22, 1995||Dragerwerk Ag||Ultrasonic atomizer with a metering unit|
|US6354292 *||Mar 19, 1997||Mar 12, 2002||Joseph A. Fisher||Elimination of vapour anaesthetics from patients after surgical procedures|
|US6681643 *||Jan 31, 2002||Jan 27, 2004||Instrumentarium Corp.||Method and apparatus for determining a zero gas flow state in a bidirectional gas flow conduit|
|US20020116994 *||Jan 31, 2002||Aug 29, 2002||Erkki Heinonen||Method and apparatus for determining a zero gas flow state in a bidirectional gas flow conduit|
|US20030003029 *||Jun 29, 2001||Jan 2, 2003||Rogers Kevin J.||Channelized SCR inlet for improved ammonia injection and efficient NOx control|
|US20050241387 *||Apr 22, 2005||Nov 3, 2005||Miesel Keith A||Diagnostic methods for branching catheter systems|
|WO1984001704A1||Oct 28, 1983||May 10, 1984||Karolinska Inst Med Tek||An arrangement for measuring two-way respiration gas flows without increasing the dead space|
|WO1995006234A1||Aug 18, 1994||Mar 2, 1995||Korr Medical Technologies Inc||Differential pressure sensor for respiratory monitoring|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US20080028848 *||Aug 7, 2006||Feb 7, 2008||David Allan Christensen||Method and system for dynamic compensation of bi-directional flow sensor during respiratory therapy|
|US20090288496 *||Jun 16, 2006||Nov 26, 2009||Justiflow Oy||Acoustic Arrangement|
|US20110015534 *||Jan 20, 2011||Nihon Kohden Corporation||Airway adaptor|
|US20120216808 *||May 9, 2012||Aug 30, 2012||Smiths Medical Asd, Inc.||Nose Cannula Heated/Humidified Gas Delivery System|
|U.S. Classification||73/204.21, 73/861.42, 73/861.52, 600/538, 73/204.11, 128/204.23, 600/532, 73/196, 128/203.12, 600/529, 128/204.22, 73/861.16|
|International Classification||G01F1/68, A61M16/20, G01F1/00, A61M16/00, A61B5/087, G01F1/40, A61B5/08, A61M16/08, A61M16/06|
|Cooperative Classification||A61M16/0816, A61M16/08, A61M2016/0036, A61B5/087|
|European Classification||A61B5/087, A61M16/08|
|Jan 24, 2005||AS||Assignment|
Owner name: DRAGER MEDICAL AG & CO. KGAA, GERMANY
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:GERDER, HENNING;KUO, ARTUR;REEL/FRAME:016223/0457
Effective date: 20050117
|Sep 9, 2009||AS||Assignment|
Owner name: DRAGER MEDICAL AG & CO. KG, GERMANY
Free format text: CHANGE OF NAME;ASSIGNOR:DRAGER MEDICAL AG & CO. KGAA;REEL/FRAME:023196/0670
Effective date: 20051031
|Jun 16, 2010||FPAY||Fee payment|
Year of fee payment: 4
|Oct 15, 2010||AS||Assignment|
Owner name: DRAEGER MEDICAL GMBH, GERMANY
Free format text: CHANGE OF NAME;ASSIGNOR:DRAEGER MEDICAL AG & CO. KG;REEL/FRAME:025137/0552
Effective date: 20100831
|Aug 29, 2014||REMI||Maintenance fee reminder mailed|
|Jan 16, 2015||LAPS||Lapse for failure to pay maintenance fees|
|Mar 10, 2015||FP||Expired due to failure to pay maintenance fee|
Effective date: 20150116
|Sep 11, 2015||AS||Assignment|
Owner name: DRAEGERWERK AG & CO. KGAA, GERMANY
Free format text: MERGER;ASSIGNORS:DRAEGER MEDICAL GMBH;DRAEGERWERK AG & CO. KGAA;REEL/FRAME:036586/0718
Effective date: 20150603